Dysthymia


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Alternative Names

Neurotic depression (dysthymia); Dysthymic disorder; Chronic depression; Depression - chronic


Treatment

As with other forms of depression, there are a number of treatment options for people with dysthymia. Selective serotonin reuptake inhibitors such as fluoxetine (Prozac) are often used. Talk therapies, such as cognitive/behavioral therapy and interpersonal therapy, have also been shown to be effective.

Some evidence suggests the combination of medication and psychotherapy may result in the most improvement.


Support Groups


Expectations (prognosis)

By definition, dysthymia is a chronic condition lasting many years. Though some people completely recover, others continue to have some symptoms despite treatment. Maintenance medication and therapy may be required.




Complications

Antidepressant drugs have a number of side effects that can complicate treatment. For example, selective serotonin reuptake inhibitors may cause stomach upset, mild insomnia, and reduced sex drive. However, untreated dysthymia can progress into a major depressive episode, a phenomenon known as "double depression."


Calling your health care provider

Call for an appointment with your health care provider if you suffer from a persistently depressed mood.



Review Date: 11/15/2006
Reviewed By: Paul Ballas, D.O., Department of Psychiatry, Thomas Jefferson University Hospital, Philadelphia, PA. Review provided by VeriMed Healthcare Network.

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